UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (NPI# 1992322119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992322119 |
| Entity Type | Organization |
| Organization Name | UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY |
| Practice Address |
2497 Herndon Ave Ste 103 Clovis CA 93611-8977 |
| Mailing Address |
3875 W Beechwood Ave Fresno CA 93711-0795 |
| Practice Telephone | 8004924227 |
| Mailing Telephone | 8004924227 |
| Mailing Fax Number | 5596466614 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | MARY LOU LOPEZ (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5596466618 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129112 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1901 E Shields Ave Ste 103, Fresno, CA 93726-5313 | 2020-06-23 |
| 1891319562 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2610 Tuolumne St Bldg B, Fresno, CA 93721-1227 | 2020-05-29 |
| 1457974206 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2630 Tuolumne St Bldg A, Fresno, CA 93721-1227 | 2020-05-27 |
| 1336776285 | United Health Centers of The San Joaquin Valley | Pharmacy | 2705 S. Highland Avenue, Pharmacy Suite, Selma, CA 93662-3389 | 2020-03-23 |
| 1467088773 | United Health Centers of The San Joaquin Valley | Pharmacy | 17008 13th St., Attn: Pharmacy, Huron, CA 93234-9997 | 2020-03-18 |
| 1952937559 | United Health Centers of The San Joaquin Valley | Clinic/Center | 300 Westgate Way, Dinuba, CA 93618-9693 | 2020-03-16 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1629621651 | United Health Centers of The San Joaquin Valley | Clinic/Center | 17008 13th Street, Huron, CA 93234-9997 | 2019-07-18 |
| 1215416839 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2705 S Highland Ave, Selma, CA 93662 | 2018-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY | 3875 W Beechwood Ave, Fresno, CA 93722-0795 |
| Street Address |
2497 HERNDON AVE STE 103 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588960959 | La Casa De Buena Salud Inc | Clinic/Center | 1400 Cameo St, Clovis, NM 88101-5401 | 2011-02-02 |
| 1679879043 | La Casa De Buena Salud Inc | Clinic/Center | 500 W 14th St, Clovis, NM 88101-5679 | 2011-02-02 |
| 1760788137 | La Casa De Buena Salud Inc | Clinic/Center | 100 Commerce Way, Clovis, NM 88101-4768 | 2011-02-02 |
| 1710283155 | La Casa De Buena Salud Inc | Clinic/Center | 1121 Maple Street, Clovis, NM 88130 | 2011-02-02 |
| 1720384167 | La Casa De Buena Salud Inc | Clinic/Center | 400 South Davis Street, Clovis, NM 88101 | 2011-02-02 |
| 1730485244 | La Casa De Buena Salud Inc | Clinic/Center | 400 Lockwood Drive, Clovis, NM 88101-8445 | 2011-01-31 |
| 1750703237 | Valley Health Team Inc | Clinic/Center | 180 W Shaw Ave, Suite B, Clovis, CA 93612 | 2014-01-17 |
| 1518067669 | La Casa De Buena Salud Inc | Clinic/Center | 1521 West 13th Street, Clovis, NM 88101 | 2006-09-25 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.